NPI | 1639797061 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA RAY LANGSTON Pharmacy Manager 501-745-4266 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2020-07-13 |
Last Update Date | 2024-04-23 |